Application Form for Additional School
Accommodation for POST PRIMARY SCHOOLS
Form ASA
(This form must only be completed in respect of urgently
required additional school accommodation)
1. BASIC SCHOOL DETAILS
1.1
School Name:
Address:
County:
School Roll No
School Telephone No
Eircode:
School e-mail address
Principal’s Name
1.2 Please give details of contact person
Name
Role in school
Phone number
Portlaoise Road, Tullamore, Co. Offaly
Telephone 057 9324300
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 1 of 7
2. APPLICATION DETAILS
2.1 Give details of accommodation for which grant-aid is being sought
(e.g. prefabricated structure, existing premises, new build etc)
2.2
Date from which accommodation is required
2.3
Indicate why additional accommodation is required
(DD / MM / YYYY)
(e.g. new appointment, replacement etc)
Site Details
2.4
Who owns the site?
Size of site (approx.)
_____ Hectares or _____ Acres
If a new build or prefabricated structure is
considered the appropriate solution is there
sufficient space on site, if sanctioned?
Yes

No

Status of School Provision
2.5
Recognition:
Temporary

Yes

Has an application for a building project
been submitted to the Department?
Is the school on either the 5 Year or 6
Year Building Programme?
5 Yr
If a building project is ongoing please
state estimated completion date?

6 Yr
Permanent
No



Neither

DD / MM / YYYY
/ /
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 2 of 7
3. ENROLMENT DETAILS
3.1
Current enrolment as at 30 September 20___
(as per October Returns)
Projected enrolment September 20___
Projected enrolment September 20___
4. TEACHING STAFF :
In certain circumstances, the Department may request the following additional
information from the school;
4.1.
4.2.
Copy of Teacher Allocation form.
Classroom Timetables for School.
5. SCHOOL ACCOMMODATION DETAILS
5.1 Please give details of existing accommodation and current use
(attach an additional sheet if necessary):
M2
Actual
size m2
Number of
permanent classrooms
Actual
size m2
No. of prefabricated /
portacabin
classrooms
Current use of each room as
applicable
<40
40<50
50
Current use
of each
Name of
Monthly rent
landlord/
(if applic)
supplier
<40
40<50
50
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 3 of 7
5.2 Other accommodation not included in previous table.
Please enter m2 (If rented please give details):
m²
Rental Details (if applible)
Principal’s Office
General Office
Staff Room
Multi-purpose Room
GP Room
Library
Others (Please specify)
5.3 Does the school currently have a universal access toilet? Yes

No

5.4 If the school uses any other premises please give details:
M2
Details
Current use of each
Monthly rent
(if applicable)
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 4 of 7
5.5 Is there a pre-school or other user operating from the school premises
or located on the school site?
Yes  No 
If yes, please give details including arrangements between school and pre-school/other
operator.
M2
Permanent
or prefab
Current Use
Previous use of area
Monthly rent
received
(if applicable)
In certain circumstances, the Department may request the following additional
information from the school;
 A complete current accommodation inventory, including room sizes
 A set of up-to-date Floor Plans with the identities and dimensions for all
spaces (metric) - ideally these should be architectural drawings.
 Ordnance Survey Map showing school site.
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 5 of 7
6. Additional Information
Any additional supporting documentation must be securely attached to the back
of the application form and listed below. This page can also be used for any
other information relevant to the application.
Attachments Enclosed
Other Relevant Information


Please note:
Information provided is subject to the Freedom of Information Act 2014
A copy of the enrolment policy of your school must be included with this application (see
section 15 (2)(d) of the 1998 Education Act).
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 6 of 7
DECLARATION AND CERTIFICATION
We hereby apply for grant-aid for towards the additional school accommodation
as described in Section 2: Application Details.
We are aware of and agreeable to the condition that if this application is successful
and results in the provision of capital funding; that this funding must be secured
legally.
In accordance with Section 15 of the Education Act 1998, we certify that this Board
of Management has consulted with the Patron/Trustees. We confirm that, where
applicable:(i) the application has the approval of the Patron/Trustees
(ii) the application has the support of the Board of Management
(iii) the proposed project is to be carried out within the confines of the vested
school area.
We certify that all of the information given in this application is true and complete to
the best of our knowledge and any material change in circumstances will be notified
immediately to the School’s Capital Appraisal Section of the Department of
Education and Skills.
We understand and declare that this application is made subject to contract and does
not constitute, form part of or give rise to an agreement or contract with the Minister
for Education and Skills.
CEO Name: __________________________________ (block letters) CEO of
_____________________________________ Education & Training Board
Roll Number ___________________.
Signed: ___________________________
Date:___/______/ 20___
or
Chairperson’s Name: ____________________________ (block letters) Chairperson,
Board of Management of __________________________________________
Roll Number ___________________.
Signed: ___________________________
Date:___/______/ 20___
and
Principal’s Name: ________________________________ (block letters) Principal
of _______________________________________________________
Roll Number ___________________.
Signed: ___________________________
Date:___/______/ 20___
Application for grant aid towards additional school accommodation
Schools Capital Appraisal Section, Planning & Building Unit, Department of Education and Skills
Page 7 of 7